Should abdomen be firm or soft?
Normal: Abdomen is soft, rectus muscle is relaxed and no discomfort is elicited during palpation.
Why do you palpate the abdomen?
Atherosclerosis may alter arterial blood flow so that a bruit is produced. Palpation is the examination of the abdomen for crepitus of the abdominal wall, for any abdominal tenderness, or for abdominal masses. The liver and kidneys may be palpable in normal individuals, but any other masses are abnormal.
What is the Markle sign?
The Markle Sign, Markle Test or Heel Drop Jarring Test is elicited in patients with intraperitoneal inflammation by having a patient stand on his or her toes and suddenly dropping down onto the heels with an audible thump. If abdominal pain is localised as the heels strike the ground, Markle Sign is positive.
What is psoas sign?
The psoas sign, also known as Cope’s psoas test or Obraztsova’s sign, is a medical sign that indicates irritation to the iliopsoas group of hip flexors in the abdomen, and consequently indicates that the inflamed appendix is retrocaecal in orientation (as the iliopsoas muscle is retroperitoneal).
What is the obturator sign?
• Obturator sign: Pain on passive internal rotation of the hip when the right knee is flexed. It is present when the inflamed appendix is in contact with the obturator internus muscle.
How do you do Rovsing’s sign?
Rovsing’s sign is performed on an individual lying flat on their back, usually on an examination table. A clinician will press slowly and gently into the left lower quadrant of the individual’s abdomen, and then gradually release pressure.
What is psoas pain like?
Pain in the lumbosacral region (the border between the lower part of the spine and the buttocks that can radiate up to lumbar vertebrae or down to the sacrum) when sitting or particularly when changing positions arising for sitting to standing. Difficulty/pain when trying to stand in a fully upright posture.
What is obturator hernia?
Obturator hernia occurs when there is protrusion of intra-abdominal contents through the obturator foramen in the pelvis. The signs and symptoms are non specific and generally the diagnosis is made during exploration for the intestinal obstruction, one of the four cardinal features.